DOSE,

NAME AND FREQUENCY, MECHANISM OF

ROUTE, NURSING
CLASSIFICATION DURATION OF
ACTION INDICATIONS CONTRAINDI- ADVERSE
CATIONS RESPONSIBILITY
OF DRUG ADMINISTRA- EFFECTS
TION
KETO- 1-tab TID Amino Acid Prevention and This combination Report to the Before:
ANALOGUES + Ketoanalogue used for therapy of damages must not be used in physician 1. Assess electrolyte
EAA nutrition therapy in due to faulty or the following immediately if levels
chronic kidney deficient protein conditions: patients are 2. Explain therapeutic
Trade name: disease. In absorption metabolism in • Hypersensitivity having any of value of drug
Ketosterile
process, the keto- and chronic renal to the active these following 3. Assess allergy to the
Generic name: hydroxy-analogues insufficiency in ingredient(s) or to symptoms: drug
Ketoanalogue are transaminated to connection with any of the •Nausea 4.Caution patient of the
the corresponding limited protein in excipients of the •Vomiting different side effects
essential amino acids food of ≤40 g/day supplement •Diarrhea 5. Assess vital signs
Classification: by taking nitrogen (for adults), ie • Having disturbed •Stomach pain 6. Proper preparation of
Therapeutic: from non-essential generally in amino acid •Increased the drug
Nutritional amino acids, thereby patients with a metabolism serum calcium
supplements decreasing the glomerular levels During:
formation of urea by filtration rate 1. Verify patient’s
re-using the amino (GFR) <25 identity
group. Hence, the mL/min. Administer with food to
accumulation of prevent GI upset
uraemic toxins is 3. Administer drug at
reduced. right time, route, and
Ketoanalogues + dosage
Essential Amino 4. Advise to swallow
Acids do not induce the tablet whole
hyperfiltration of the 5. Monitor vital signs
residual nephrons.
Ketoanalogues + After:
Essential Amino 1. Document
Acids containing administration of drug
supplements exert a 2. Instruct patient to
positive effect on report immediately if
renal symptoms of
hyperphosphataemia hypercalcemia occur
and secondary like muscle weakness,
hyperparathyroidism. constipation
Moreover, renal 3. Monitor calcium
osteodystrophy may levels
be improved. The use 4. Monitor for signs of
of Amino Acid hypercalcemia and
Ketoanalogue in electrolyte levels.
combination with a 5. Monitor vital signs
very low protein diet especially cardiac
allows to reduce changes.
nitrogen intake while
preventing the
deleterious
consequences of
inadequate dietary
protein intake and
malnutrition.